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通过与成人重肝临床资料对比分析,归纳小儿重肝的一般临床特点为:①乙肝病毒感染(63.88％)是小儿重肝的主要病因;②发烧(88.89％)、躁动(69.44％)、尖叫(38.89％)是最常见的临床症状;③食欲亢进(44.44％)是小儿重肝独特的临床症状;④发病急、肝功能衰竭出现早;⑤肝衰早期肝细胞水肿型多(55.56％);⑥脑水肿(88.89％)、继发感染(33.33％)是临床最常见的并发症;⑦病死率仍较高(41.67％)。提出结合其临床特点给予及时合理的治疗,以期提高小儿重肝存活率。
Compared with the clinical data of adult patients with severe hepatitis, the general clinical features of children with severe hepatitis were summarized as follows: (1) Hepatitis B virus infection (63.88%) was the major cause of severe hepatitis in children; (2) fever (88.89%), restlessness (38.89%) is the most common clinical symptoms; ③ appetite hyperthyroidism (44.44%) is a unique clinical symptoms of pediatric severe liver; ④ onset of acute liver failure early; ⑤ liver failure early hepatocyte edema type (55.56% ); ⑥Cerebral edema (88.89%), secondary infection (33.33%) is the most common clinical complication; ⑦The mortality rate is still high (41.67%). Proposed timely and reasonable treatment combined with its clinical features, with a view to improve pediatric severe liver survival rate.